Behavioral Health RN: Care Review & Prior Authorization
$26.41 - $51.49 per hourMolina Healthcare of Illinois
Molina Healthcare in Wisconsin is looking for a Registered Nurse (RN) to support clinical member services review. The position involves assessing services for compliance and verifying medical necessity, thus ensuring optimal member outcomes through efficient care delivery. The ideal candidate should have at least 2 years of relevant experience in hospital acute care, strong organizational and communication skills, and be proficient with Microsoft Office. Competitive pay range is between $26.41 and $51.49 per hour. #J-18808-Ljbffr
- ...healthcare company is seeking a Remote Behavioral Health RN Intern for their internship program... ...involves conducting clinical reviews for prior authorization requests, coordinating with healthcare... ...key training in the managed care industry. Strong proficiency in healthcare...SuggestedInternshipRemote work
$29.05 - $67.97 per hour
...experience, responsible for review of documentation to... ...appropriate level of care utilizing MCG/... ...of appeals for denied prior authorizations. Includes standard and... ...experience. Registered Nurse (RN). License must be... ...Quality (CPHQ), or other health care certifications. Nursing...SuggestedHourly payWork experience placementWork at office- ...Under the direction of the Behavioral Health Clinic Manager and Director... ...prescribers in providing quality care to patients. This includes... ...which includes completing prior authorizations, calling/faxing pharmacies... ...with onsite laboratory Reviews completed labs and coordinates...Suggested
$29.05 - $67.97 per hour
...experience, responsible for review of documentation to... ...appropriate level of care utilizing MCG/... ...of appeals for denied prior authorizations. Includes standard and... ...• Registered Nurse (RN). License must be active... ...Quality (CPHQ), or other health care certifications....SuggestedHourly payWork experience placementWork at office- ...Behavioral Health Substance Use Disorder Care Team Specialist The Behavioral Health Substance Use Disorder Care Team Specialist (SUD CTS) works collaboratively... ...limited to: supporting Epic in-basket workflow by reviewing team/provider in-baskets and MyChart messages;...SuggestedLocal area
- ...Behavioral Health Medical Assistant (CMA, LPN, or EMT) Capitol Clinic - 675 W. Washington Avenue... ...Behavioral Health Substance Use Disorder Care Team Specialist (SUD CTS) works... ...Supporting Epic in-basket workflow by reviewing team/provider in-baskets and MyChart messages...Local area
$45.9 - $71.4 per hour
...Responsibilities The RN Care Coord-Qual Med Mgmt will provide administration... ...programs that include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation... ...Bachelor's Degree Nursing or health care. Utilization review, discharge...Local areaRemote work- ...'s a calling WI-SSM Health St. Mary's Hospital - Madison... ...: Department: Behavioral Health Shift Options... ...direct patient care to behavioral health patients... ...Participates in the development, review and evaluation of... ...Professional Nurse (RN) - Illinois Department...Hourly payFull timeFlexible hoursShift workNight shiftRotating shiftWeekend workAfternoon shift
- ...Clinical Appeals Reviewer (Licensed... ...federal agencies in health, agriculture,... ...licensed health care professionals capable... ...Nurses (RN), Physical Therapists... ...and ethical behavior, respect... ...Must be legally authorized to work in the... ...to contact us prior to their interview...Full timeContract workPart timeFor contractorsWork at officeLocal areaRemote workNight shift
- ...- 7:00am Are you prepared for the impact you can make as an RN in Behavioral Health? We are looking for Registered Nurses at Shorewood Behavioral... ...in providing comprehensive acute and outpatient psychiatric care for adolescents, adults, and seniors dealing with mental...Local areaShift workNight shiftDay shift
- ...Shorewood Behavioral Health is actively seeking Registered Nurses in Madison, WI. The successful candidate will provide comprehensive care, develop nursing care plans, and maintain medical records... ...nursing program and possess a current RN license, with at least one year of...
- ...Outreach Community Health Centers in Wisconsin is seeking a Registered Nurse to assist in providing quality care within their Behavioral Health Clinic. The role involves coordinating healthcare... ...Bachelor’s degree in Nursing and an RN license in Wisconsin. This position offers...
- ...Shorewood Behavioral Health in Madison, WI, seeks Registered Nurses to join their new 120-bed behavioral healthcare hospital. The RN will assess patients' health needs, implement care plans, and maintain records while adhering to nursing standards. Candidates must have...
- ...it's a calling WI-SSM Health St. Mary's Hospital - Madison... ...Highlights Department: Behavioral Health Shift Options:... ...direct patient care to behavioral health patients... ...in the development, review and evaluation of multidisciplinary... ...Professional Nurse (RN) - Illinois Department...Hourly payFlexible hoursShift workNight shiftRotating shiftWeekend workAfternoon shift
- ...SSM Health is seeking a Registered Nurse for Behavioral Health in Madison, Wisconsin. This role involves providing direct patient care, conducting assessments, and collaborating on treatment plans.... ...however, candidates must hold a valid RN license for Wisconsin and basic...Flexible hoursNight shiftAfternoon shift
- ...Become a part of our caring community Are you... ...the goal to put health first? The DOW SkillBridge... ...Management Behavioral Health Registered Nurse (RN) Intern will... ...medical necessity reviews for behavioral health... ...clinical reviews of prior authorization requests to determine...For contractorsApprenticeshipInternshipRemote workWork from homeHome officeWeekday work
- ...Group Health Cooperative of South Central Wisconsin is seeking a Behavioral Health Substance Use Disorder Registered Nurse (SUD RN) to work collaboratively with a multidisciplinary team. This role involves coordinating and delivering high-quality substance use disorder...
$73k - $75k
...grow your career with us, experience our caring culture, and enjoy work-life balance.... ...Workplaces in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To provide timely,... ...assistance, flexible spending or health savings account, and other additional voluntary...Work at officeFlexible hours- ...Providence is seeking a qualified RN Care Coordinator for medical management programs... ...Oregon and Washington. The role involves prior authorization, care coordination, and collaboration... ...benefits package is offered, including health care, retirement plans, and more. #J-18...
- ...Advanced Health Coordinated Care Organization is hiring a part-time remote Utilization Review Nurse. The ideal candidate will be a licensed RN with experience in acute care and utilization... ...Responsibilities include reviewing prior authorizations, ensuring quality care, and...Part timeRemote work
- ...Social Worker Behavioral Health Position The Dane County Human... ...children and youth. Authorizes appropriate... ...promote continuity of care. Transports, or coordinates... ...reconciliation, documentation, reviews and re-certifications,... ...Services (DSPS) prior to applying. The position...Permanent employmentFull timeInternshipWork at officeImmediate startTrial periodAfternoon shift1 day per week
$33.52 - $39.12 per hour
...vacancy for a Social Worker Behavioral Health position located... ...eligible children and youth. Authorizes appropriate... ...promote continuity of care. Transports, or coordinates... ..., documentation, reviews and re-certifications,... ...Professional Services (DSPS) prior to applying. The...Hourly payPermanent employmentFull timePart timeWork experience placementInternshipWork at officeImmediate startRemote workTrial periodWeekend workAfternoon shift1 day per week$50 - $60 per hour
...A behavioral health facility in Middleton, Wisconsin seeks a Registered Nurse for a full-time... ...providing comprehensive nursing care, developing patient care plans, and supervising... ...approved nursing degree and a valid RN license, with prior experience in a clinical setting...Hourly payFull timeNight shift- ...This position requires providing comprehensive nursing care, supervising staff, and developing care plans.... ...graduates from an accredited nursing program with a current RN license and preferred experience in behavioral health. A competitive salary and benefits are offered,...Part timeWeekend work
- ...Job Description Group Health Cooperative of South Central... ...to fostering a caring and compassionate environment... ...The Registered Nurse (RN) – Primary Care Nurse ,... ...required. Ability to review new trends and techniques... ...these values in behavior and attitude. Our Mission...Local areaRemote workWork from homeFlexible hoursShift work
- ...The registered nurse (RN, RN II, RN III) performs... ...nursing activities in the care of patients so they may... ...other members of the health team as the patient's... ...obtained by others by reviewing patient's treatment plan... ...suicidality and/or assaultive behavior. Develop age‑...Full timeImmediate startMonday to FridayShift work
$38 - $44 per hour
...& Weekly Paychecks Health, Dental, Vision, HSA... ...patient/client care and/or services provided... ...of intervention Reviews plan of care and program... ...Registered Nurse (RN) License for the... ...BLS card. One year prior Registered Nurse (RN... ..., respite care and behavioral care for...Hourly payWeekly payContract workTemporary workWork from home$39 - $46 per hour
...& Weekly Paychecks Health, Dental, Vision, HSA... ...patient/client care and/or services provided... ...of intervention Reviews plan of care and program... ...Registered Nurse (RN) License for the... ...BLS card. One year prior Registered Nurse (RN... ..., respite care and behavioral care for...Weekly payContract workTemporary work- ...Registered Nurse (RN) Medical/Nephrology... ...Shift! Awesome state health benefits and... ...University Hospital Authority (MUHA) Worker Type... ...Description Provides nursing care to patients using... ..., and professional behavior. Demonstrates the... ...participation in peer review and professional...Hourly payRelocation packageShift workWeekend workDay shift
- ...based, high quality nursing care for patients via telephone and... ...patient education, facilitate prior authorization and other duties related to... ...benefits package, including health and dental insurance, paid time... ...Work Experience 6 months of RN experience required. Relevant...Work experience placementMonday to FridayShift workDay shift1 day per week
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Behavioral Health RN: Care Review & Prior Authorization. Be the first to apply!


